MICHAEL J DOUGHERTY (NPI# 1306817564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306817564 |
Entity Type | Individual |
Full Name | MICHAEL J DOUGHERTY |
Credential | M.D. |
Practice Address |
155 Wilson Ave Dept of Radiation Oncology Washington PA 15301-3336 |
Mailing Address |
2 Hot Metal St Quantum One, N431 Pittsburgh PA 15203-2348 |
Practice Telephone | 7242233788 |
Practice Fax Number | 7242292055 |
Mailing Telephone | 4124325806 |
Mailing Fax Number | 7124327691 |
Enumeration Date | 2006-01-27 |
Last Update Date | 2009-04-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD042918L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0014377780002 | 05 | |
PA | 0014377780001 | 05 | |
OH | 2586769 | 05 | |
PA | HIGHMARK BS | 199313 | 01 |
PA | CAQH | 11453237 | 01 |
WV | 3810002147 | 05 | |
PA | 0014377780012 | 05 | |
PA | 0014377780020 | 05 | |
PA | 0014377780055 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881139939 | Michael Dougherty | Obstetrics & Gynecology | 913 Village Drive West, North Brunswick, NJ 08902 | 2016-12-28 |
1114160439 | Michael Christopher Dougherty | Emergency Medical Technician, Paramedic | Psc 37, Box 4813, Apo, AE 09459-9998 | 2009-04-16 |
1720276579 | Michael Dougherty | Physical Therapist | 9441 Lbj Fwy Ste 101, Dallas, TX 75243-4566 | 2007-10-05 |
1790997781 | Michael W Dougherty | Audiologist | 211 South St # 318, Philadelphia, PA 19147-2305 | 2007-05-04 |
1134228265 | Michael James Dougherty | Pediatrics | 200 Patewwod Drive, Suite A200, Greenville, SC 29615-3585 | 2006-09-22 |
1932186210 | Michael D Dougherty | Physician Assistant | 611 Sherman Ave East, Fort Atkinson, WI 53538 | 2005-12-28 |
1972129476 | Michael Devin Dougherty | Nurse Practitioner | 1690 N Monroe St, Tallahassee, FL 32303-5533 | 2020-06-19 |
1437786407 | Michael Dougherty | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-03-26 |
1245735133 | Michael James Dougherty | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2018-03-24 |
1679904999 | Michael Dougherty | Specialist/Technologist | 5165 Adanson St, Orlando, FL 32804-1331 | 2013-12-12 |
Street Address |
155 WILSON AVE DEPT OF RADIATION ONCOLOGY |
City | WASHINGTON |
State | PA |
Zip Code | 15301-3336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487656625 | Alden G Mcbee | Pathology | 155 Wilson Ave, Washington, PA 15301-3336 | 2005-06-01 |
1598380776 | Western Pennsylvania Surgical Specialists LLC | Surgery | 155 Wilson Ave, Washington, PA 15301-3336 | 2020-06-12 |
1801428073 | Washington Physician Services | Surgery | 155 Wilson Ave, Washington, PA 15301-3336 | 2020-02-06 |
1033680772 | Carlin Rose Gerba | Nurse Practitioner | 155 Wilson Ave, Washington, PA 15301-3336 | 2018-12-06 |
1013457787 | Christian Michael Schmidt | Physician Assistant | 155 Wilson Ave, Washington, PA 15301-3336 | 2017-03-01 |
1669914198 | Katie Heinrich | Registered Nurse | 155 Wilson Ave, Washington, PA 15301-3336 | 2016-11-15 |
1629510078 | Laura Lucatorto | Nurse Anesthetist, Certified Registered | 155 Wilson Ave, Washington, PA 15301-3336 | 2016-11-15 |
1831543479 | Khalil Qaderdan | Internal Medicine | 155 Wilson Ave, Washington, PA 15301-3336 | 2016-04-20 |
1952773806 | Scarlet Oak Emergency Physicians, LLC | Physician Assistant | 155 Wilson Ave, Washington, PA 15301-3336 | 2015-10-30 |
1154793719 | Amy Louise Bruckner | Registered Nurse | 155 Wilson Ave, Washington Hosp, Washington, PA 15301-3336 | 2015-10-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
Find all providers in zip 15301 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780023374 | Yuan James Rao | Radiology | 2150 Pennsylvania Ave Nw, Dc Level, Washington, DC 20037-2003 | 2013-06-18 |
1528151990 | Christina Irene Tsien | Radiology | 5255 Loughboro Rd Nw Bldg A1, Washington, DC 20016-2633 | 2006-09-30 |
1538266234 | Nam Phong Nguyen | Radiology | 2041 Georgia Ave Nw Huh B810, Washington, DC 20060 | 2006-09-17 |
1073992038 | Jill Remick | Radiology | 900 23rd St Nw, Washington, DC 20037-2342 | 2015-05-23 |
1063830347 | Nitika Paudel | Radiology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2014-04-03 |
1992141782 | Jennifer Vogel | Radiology | 5255 Loughboro Rd Nw, Washington, DC 20016-2633 | 2013-05-20 |
1821338682 | Minh-phuong Huynh-le | Radiology | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2013-02-15 |
1083973556 | Jonathan Lischalk | Radiology | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2012-05-03 |
1053686279 | Aditya Halthore | Radiology | 5255 Loughboro Rd Nw, Washington, DC 20016-2633 | 2012-03-21 |
1205077781 | Keith Robert Unger | Radiology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2009-03-13 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 15301 |
Please comment or provide details below to improve the information on MICHAEL J DOUGHERTY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.